Article ; Online: Pediatrics severe low back pain by disc herniation: an uncommon entity.
Pediatric rheumatology online journal
2024 Volume 22, Issue 1, Page(s) 1
Abstract: Background: Common severe back pain due to disc herniation is rare in the paediatric population which involves children under eighteen years of age. Paediatric lumbar disc herniation (LDH) cannot be considered the same disease as in adults, as it has ... ...
Abstract | Background: Common severe back pain due to disc herniation is rare in the paediatric population which involves children under eighteen years of age. Paediatric lumbar disc herniation (LDH) cannot be considered the same disease as in adults, as it has potentially different natural and clinical backgrounds. The treatment of pediatric LDH is the other particularity of this condition. Indeed, in children, delaying surgery for a conservative treatment is justified. We report 3 cases treated in 8 years. Case presentation: Three patients, two of whom were 14 years of age and one 17 years of age, were admitted for L5 or S1 lumbosciatica. A CT scan showed a lumbar disc herniation L5S1 associated with bi-isthmic lysis (and a transitional abnormality in 1 case or spina bifida occulta in 1 other case). The last patient had an magnetic resonance imaging (MRI) that showed a herniated L4L5 disc. The diagnosis of low back pain disc herniation was retained in two patients and that of disabling low back disc in one patient. Percutaneous discolysis in the two hyperalgesic cases and epidural corticosteroid infiltration in the disabling case were effective on lumbosciatica. Conclusion: Paediatric common lomw back pain caused by a disc herniation with a hyperalgic or disabling character posed a therapeutic problem which were solved by the invasive approaches that must be given priority nowadays with children. |
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MeSH term(s) | Adult ; Humans ; Child ; Intervertebral Disc Displacement/diagnosis ; Intervertebral Disc Displacement/diagnostic imaging ; Low Back Pain/complications ; Low Back Pain/pathology ; Lumbar Vertebrae/diagnostic imaging ; Lumbar Vertebrae/pathology ; Lumbar Vertebrae/surgery ; Magnetic Resonance Imaging |
Language | English |
Publishing date | 2024-01-02 |
Publishing country | England |
Document type | Case Reports ; Journal Article |
ZDB-ID | 2279468-2 |
ISSN | 1546-0096 ; 1546-0096 |
ISSN (online) | 1546-0096 |
ISSN | 1546-0096 |
DOI | 10.1186/s12969-023-00942-4 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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